Whalio Doctors

NPI 1194012799

Dynamic Grace Home Health Care Services,inc

Organisation Home Health Agency Taylorsville, UT

Practice location

Address
6510 Tamra Dr, Taylorsville, UT 84084-5733
Phone
(801) 703-0658

Authorised official

Name
Patricia O Otiede
Title
Administrator
Phone
(801) 703-0658

Registered specialties

Home Health Agency Primary
Agencies Taxonomy 251E00000X Licence 2011-HHA-102739 (UT)

Registry record

NPI
1194012799
Entity type
Organization
NPI issued
1 Jul 2011
Record last updated
20 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.